Slipped Capital Femoral Epiphysis Treated by Subcapital Realignment of Epiphysis by Ganz Safe Surgical Dislocation: A Short Term Outcome Analysis

Muthusubash, E M V (2017) Slipped Capital Femoral Epiphysis Treated by Subcapital Realignment of Epiphysis by Ganz Safe Surgical Dislocation: A Short Term Outcome Analysis. Masters thesis, Madras Medical College, Chennai.

[img]
Preview
Text
220200117muthusubash.pdf

Download (42MB) | Preview

Abstract

BACKGROUND: Slipped capital (upper) femoral epiphysis [SCFE] is a condition where the femoral epiphysis slips off of the proximal femoral neck. The deformity causes reduced range of motion and severe femoroacetabular impingement. Traditional methods of correction have the consequence of recurrence of slippage, anatomic realignment being not achieved, and development of secondary osteoarthritis. Subcapital realignment of epiphysis involves surgical dislocation of hip and developing soft tissue flap consisting of retinaculum and external rotator muscles, which allows anatomic reduction of epiphysis, preservation of perfusion of epiphysis and fusion of growth plate. AIM OF STUDY: Purpose of study was to focus on outcome of moderate to severe slipped capital femoral epiphysis treated by safe surgical dislocation of hip and subcapital realignment of epiphysis. MATERIALS AND METHODS: Ten hips of 8 patients were surgically treated through approach of Ganz surgical hip dislocation andsubcapital realignment of epiphysis. Patients were investigated with x-ray pelvis anteroposterior view and frog leg lateral view. Post operatively passive mobilisation and abductor strengthening exercises was performed, gradual weight bearing allowed after 8 weeks. Operative results were followed up by periodic radiographs. RESULTS: Patients were followed for an average of 10 months (range, 3 to 18 months).Improvement in abduction and internal rotation was noted, have been able to walk without crutches with no obvious limp. No occurance of avascular necrosis of femoral head.Patients were satisfied with the function of hip joint. CONCLUSION: Application of Ganz surgical dislocation of hip and subcapital realignment of epiphysis in treatment of moderate to severe SCFE, though a complex technique, can be done with reliability and repeatability if thorough knowledge of vascular anatomy is understood. With this method anatomic realignment is achieved, blood supply is preserved, femoroacetabular impingement is corrected and osteonecrosis of femoral head is prevented.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Slipped capital femoral epiphysis, Ganz surgical dislocation, Subcapital realignment, Osteonecrosis.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 19 Mar 2020 12:01
Last Modified: 19 Mar 2020 12:01
URI: http://repository-tnmgrmu.ac.in/id/eprint/12356

Actions (login required)

View Item View Item